HB 1078 amends North Dakota law to require state reimbursement for certain medical expenses incurred by National Guard members while on duty. It directly affects North Dakota National Guard service members who face out-of-pocket costs for medical care related to their military service. The bill changes Section 37-01-44 of the North Dakota Century Code to establish this reimbursement process. The legislation also declares an emergency to expedite its implementation, as noted in the official abstract. The bill was signed into law by the Governor on March 26, 2025.
Relating to medical costs transparency for health care facilities; to amend and reenact section 26.1‑47‑02 of the North Dakota Century Code, relating to health care facility and preferred provider compliance with medical cost transparency requirements; and to provide a penalty.
Relating to health status exceptions for health care facilities; to amend and reenact sections 14‑02.4‑01, 14‑02.4‑02, 14‑02.4‑03, 14‑02.4‑04, 14‑02.4‑05, 14‑02.4‑06, 14‑02.4‑08, and 14‑02.4‑09, subsection 1 of section 14‑02.4‑14, subsection 1 of section 14‑02.4‑15, and sections 14‑02.4‑16 and 14‑02.4‑17 of the North Dakota Century Code, relating to creating a new status related to human rights and antidiscrimination policies; and to provide an appropriation.
SB 2140 amends North Dakota's dementia care program to expand support for individuals with dementia or mild cognitive impairment and their caregivers. The bill requires the state department to contract with private providers for a statewide program that identifies regional services, educates medical professionals and the public about dementia symptoms and early detection, assesses needs, and facilitates referrals to care. Key provisions include training for care providers, consultation services for clients and caregivers, and promoting awareness of treatments and research opportunities. This law directly affects dementia patients, their families, and regional human service centers across North Dakota.
SB 2231 would require North Dakota's medical assistance program to cover specific dental and behavioral services, directly affecting recipients of medical assistance who need these services. The bill mandates coverage for family adaptive behavioral treatment guidance, dental screenings, dental case management for special populations (including children, elderly, and medically fragile individuals), and asynchronous teledentistry to improve access. It explicitly states these new coverage requirements do not apply to Medicaid expansion programs for children and adults. The bill failed to pass in the Senate on March 27, 2025, with 33 votes in favor and 59 against.
HB 1430 would amend North Dakota's social work regulations to allow licensed social workers to offer counseling aligned with heterosexuality or a client's biological sex without violating ethics rules. It directly affects licensed social workers in North Dakota who provide counseling to individuals questioning their sexuality or gender identity. The bill requires social workers to disclose the nature of such treatment and obtain written consent from the client or their parent/guardian before proceeding. This legislation, which failed to pass in March 2025, focuses on defining ethical boundaries for specific counseling approaches under professional regulation.
SB 2205 creates a dedicated "charitable gaming operating fund" in North Dakota's state treasury to manage all taxes, fines, and penalties collected from charitable gaming activities (like bingo or raffles run by nonprofits). The bill requires quarterly allocations: $75,000 to the gambling disorder prevention and treatment fund, and 5% of total funds to cities and counties based on taxes collected from local games (with a minimum $200 threshold for payments). It also mandates that any excess funds remaining after covering administrative costs be transferred to the state's general fund every odd-numbered year. This bill directly affects how charitable gaming revenue is distributed to state programs and local governments.
HB 1154 extends a moratorium on adding new basic care and nursing facility bed capacity in North Dakota from August 1, 2023, through July 31, 2029. It prohibits new licenses for basic care beds unless facilities convert existing beds, demonstrate high demand (90% occupancy within 50 miles for 12 months), or receive department approval. The bill also restricts nursing facilities from changing bed configurations more than twice annually, except for specific conversions or relicensing after July 31, 2011. This law directly affects nursing homes and care facilities seeking to expand or reconfigure bed capacity across the state.
HB 1252 creates a dedicated tribal health care coordination fund in North Dakota's state treasury, providing ongoing state funding to tribal governments for public health services. Funds are distributed based on each tribe's federal care coordination funding, with strict requirements: tribes must use funds for core public health services (limiting capital construction to 50% until 2027, then 35%), submit annual reports, and undergo biennial independent audits. The state department of health withholds funds for missing reports or improper use, and can restore distributions once compliance is verified. This bill directly affects North Dakota's tribal nations by establishing formalized, accountable funding for health programs aligned with federal public health priorities.
HB 1471 requires dental benefit plans in North Dakota to offer payment methods other than credit cards to dentists, preventing plans from requiring credit card payments only. It mandates that plans notify dentists about any fees for specific payment methods, explain available options, and provide clear instructions for selecting fee-free alternatives. The bill also prohibits charging transmission fees for electronic payments unless the dentist consents, and restricts plans from sharing credit card company profits to cover claim payments. This directly affects dental benefit plans, their vendors, and health maintenance organizations when paying dentists in North Dakota.
